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381 5th St (vault) t . LAN. „ rx `e l- 4,. ›, CITY OF ATLANTIC BEACH ^^ 800 SEMINOLE ROAD nr ; r I s) ATLANTIC BEACH, FLORIDA 32233 r INSPECTION PHONE LINE 247 -5826 ��J3l�' Application Number 04- 00028527 Date 8/02/04 Property Address 381 5TH ST Tenant nbr, name 12,000 GALLON POOL Application description . . POOL Property Zoning TO BE UPDATED Application valuation . . . 20000 Owner Contractor TARKINGTON, FRANCES SOUTHEASTERN POOLS COMPANY 233 E.BAY SUITE 1001 8935 MAC ARTHUR CT S JACKSONVILLE FL 32202 JACKSONVILLE FL 32216 (904) 641 -4559 Permit ELECTRICAL PERMIT Additional desc . WIRING FOR POOL Sub Contractor . A -ONE ELECTRICAL SERVICE, INC. Permit Fee . . . 75.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. . FFICIAL ,.- �, CITY OF ATLANTIC BEACH IP ;:'`''' ELECTRICAL PERMIT APPLICATION xt ,19' Date: 8 /.SAD V Property Address: 3 g/ 5 - f' s 2iR - ) Owner: / S ) C)< T Z ) ) c - 7 ) Telephone #: U;e/ J - 0 /-S Contractor: A -- O' - 7e 2 LA 2 .fe-- l -e^ Telephone #: ‘ 2/. , 00 3 2 Contractor Address: /r 7 ' 7 ' - ...S71 w - 4 1 6 ){ Fax #: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New ❑ Residence ❑ Temp. ❑ New being done on this building l3"Old ❑ Commercial ❑ Signs ❑ Increase Or site, list the building number: ❑ Re -wire ❑ Addition Sq. Ft. ❑ Repair 0 4 / - aZ SO1 ? Conductor Size: AMPS: COPPER ❑ ALUMINUM ❑ Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS LA 0 a PH ) W 3 VOLT a y d WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN / Receptacles CONCEALED OPEN ) 0 30 AMPS 31 100 AMPS Switches 1 Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW -HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0 -1 H.P. VOLTAGE PH I NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous Gv / 6A /)6i S&.. , M m , / 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us PERMIT WORKSHEET Certificate of Occupancy Job Address: Type Work: 381 5Tt{ "S.77 (- Poo t_. Property Owner: Phone # 1 ARK.,c ,)G T O , - t - 2 0-15 2x-11 - l SZ Contractor: Phone # x.YrtiE- S TEY2 i C Coo l- '45S`1 Permit #: co-1- Z8S 2'7 Dat I ssue d : Co-Z.9-04 Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing Framing / Cover Up Insulation Final Building Tree Permit # YES NO Electrical Permit # Date / Copy to JEA Temp, Pole Permit # Date / Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit # Inspections: Rough Final Plumbing Permit # Inspections: Rough / Underslab Topout Water / Sewer Final Drainage Inspection: Pool Permit # Inspections: Steel Final Grounding Final Roofing Permit # Inspections: Nailing / Sheathing Final Fire Inspection: Failed Inspections: Date Paid: Date Paid: I t A � , CITY OF ATLANTIC BEACH ' ' ` 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 �. F INSPECTION PHONE LINE 247 -5826 Application Number . . . 04- 00028576 Date 7/16/04 Property Address 381 5TH ST Tenant nbr, name VINYL PRIVACY FENCY Application description . . FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 8000 Owner Contractor TARKINGTON, FRANCES DUVAL FENCE 233 E.BAY SUITE 1001 11556 -2 PHILLIPS HWY. JACKSONVILLE FL 32202 JACKSONVILLE FL 32256 (904) 260 -4747 Permit FENCE PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL Cc: `- 1...V - j-1 CITY OF ATLANTIC BEACH D. Ford 4 r r L. His •Ir1S iii, Cs ,I BUILDING / ZONING DEPARTMENT L , ...... , t ` 5 ; ; 800 Seminole Road Atlantic Beach, Florida 32233 15141 . z: r (904) 247 -5800 J,3 (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # CY4 - 28 67 }.;;, jo' -4 Property Address: 38 1 5 Tri Z -- Applicant: �J \ ^ � C.-6 Project: VI ti`-( L C 9 F-FL.Y. E This per • application has been: Apiiroved 07-1) Z - "l i 11 = Reviewed and the following items need attention: tj it0,e, .J , \ ."-,b i-e___ ? C A i / , o 0 Please re- submit your applicatio when these items have been completed. Reviewed By: "— Date: © 7' O °Z re r(h ! • • CITY OF ATLANTIC BEACH teit FENCE PERMIT APPLICATION Date: I- Job Address: / , S r t - X e e ' Owner's Name: f t✓/� / R'4i J , -foe) r I V a V l -•` b /s�2 Address: Phone: -- 3 J 1.egal Description: Block Number: L Lot Number: J W Zoning District: Fence Contractor: b u V41 ,C 1$ c Address: �! " A /`/Ti lrl !aJ 6�l �•'�f Phone: . a 6 0 — ¥7(/ City: 4 .�0/ i state: _ AZ. d. Zip: 3 tea s Fax: • • d — l a/ c7,513 Type of fence and materials to be used: � � ! (f.44.7 WA' Y- YI ,J y 1 vJ Valuation Of Fence: SLIGO `' Anterior Lot ❑ Corner Lot 0 Dumpster or storage tank enclosure Is approval of I•lomeowacr's Association or other private entity required? A/0 If yes, please subunit with this application. Tree Protection: NO. Applicant certifies that no trees will be removed for the installation of this fence. ❑ YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the uttltty and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application (please print). Name: . i ) 4\ 7 �) t '3 . a „, 5M'trVv4M 6, Se . Mailing Address: , / /.51'6 - Fhh /i j AY A 71r W47 PL.. • . . Phone: e ilo - V7 9 Fax: O Q J E -Mail: 800 Seminole Road • Atlantic Brach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.eLatlantic- beach.fl.us Page 1 Revised 3/04/04 Z0 39Vd DNI 3ON3.J 1 Af1Q 95Z009Z Z0 :80 b00Z /I0 /L0 Map Output Page 1 of 1 JAXGIS Property Information '4 I - .�-"-� l II � �� 3� � 37:3 il 6311. ‘I 367 361 c------- \ 602 k- 45:197r- -- - � III II I I I I .....- - , gr---5r\ 3� ___, by I I 4 3412 Iii 3 370 i 1 y i 560 1, 501 I ass i I l ii 460A V„------- l'i \, II °' t . eta-93" f pail $� wi ;1 y sir y 11 -�"_ .�` ;' " '''` 16 F &78I$00 377 i 73 550 3s _ - .,- .- ---- - -- 3p 92 00. -- 5TH - - - ��,� -- -- ' --864413A--'----- .3 -- ' ---r ' 360 3 y I I c \ 400 f ,_-\ �. * ` iiii : -^ — y 37 367 1 \ 43a \ 415 .4 r } �. '4 � t Cop�yris 28112CHyof Jaclmanuille. Fl `" ti II Q Ir " f a ,A, RE # Name Address Total Acres Plat Mao Descriptions Flood LandUse Zoning ENT Value Book Panel Zone 381 5 -69 16- 2S -29E Not in TARKINGTON 169878 0000 RICHARD T 5TH ST 217400 0.17000000179 559 1 ATLANTIC BEACH Flood 32233 LOT 36 BLK 7 Zone http: / /maps.coj. net /WEBSITE /DuvalMAps /toolbar.asp 7/2/2004 I hereby certify that all information provided with this application is correct. 4 of Owner: a Date: CD / .3 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws end ordinances governing this type of work will be complied with, whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. • Signature of Contractor: 4g r Dar;: 6. /3 dJD V AS TO OWNXR � Sworn to and subscribed before me this 3 day of V r Lt P G. ,20 0 V State of Florida, County of Duval r Notary's Signature: / J'l s _ E. PSII1s a Personally known Commkti0lt $ D0250281 a Expires October 30, 2001 iroduced identification ' BONN n *MA M, inu ees1eset0te yF ,, ` C. ► Type ofldentilication Produced AS TO CONTRACTOR: Sworn to and subscribed before me this 0 day of J(J ski t ,200 . State of Florida, County of Duval ____ Notary's Signature: rsonally known w Morris I. Peters two Commission r DD258281 ❑ Produced Identification Expires October 30, 2007 • MOW t+ee t an • wows, i town Type of Identification Produced • • • • • 800 Seminole lined • Atlantic Beach, Florida 32233 - 5445 Phone: (904) 247-5800 • Fax: (904) 247 - 5845 - http : / /www.cLatlantic Page 2 Revised 3/04/04 £0 39gd ONI 3DN3d WtiAfQ 9SZ009Z Z0 :80 000Z/t0/L0 A4141 Snruwuvv tjuU/VUHhC r .3 UKVL r ur LOT . SG BLOCK 7 AS SHOWN ON MAP OF ,C/f3AV!SION• "A" , • ArL 4 `rra , ACH AS RECORDED IN RAT sow cP . PAGES ang THE Cb ufoteAr r / R.rreOR06 OP buv4t, 4W � � LOT C.. T 6r! L T _ S }` N� ( cafe twee � ACS /: -4 Posocreabre Ii�INl, NC C.�P w Y 4 c ws/ u01K. 1 (.ribs+ nw....1) z> N 6 'kit 7Q t v , 6 kM ,....--- 4 �. o crify .rmzri be. gsz r • (...O`T g8 /STO o LOT 34 c jfa b FRAME 7 0 Z5.! ma ` xv u N. A QN 1 a •2> a '[ U4. • J r 0 .�,u, re - . Pou.nv y,. Ilnl� 4f dl ''tee. . . . r PAL o.+� �r ` moo - �l • g W. 44.88 . _ .1 J�'ID. O ' FIFTH SYP OET f40 , It/ vv ) 90 39bd °NI 30N3d 1tiAf1Q 95ZD09Z Z0:80 000Z/t0/L0 DUVAL FENCE, INC. 11556 -2 PHILIPS HIGHWAY JACKSONVILLE, FL 32256 PH (904)260 -4747, FAX (904)260 -4256 E -MAIL: duvaifence@aol.com THURSDAY .11.11. 1, 2004 TO: BUILDING DEPARTMENT FROM: DAVID DRUMMOND SR. PAGES INCLUDING COVER SHEET: 5 WE WERE TOLD WE COULD FAX THIS INFO AND BRING HARD COPY WHEN WE PICK UP PERMIT. PLEASE PROCESS. THANK YOU TO 39dd DNI 33N3d 1VAf1Q 99Z009Z Z0 :80 b00Z /t0 /L0 LOT sa _BLOCK . , 7 AS SHOWN ON MAP OF 64/001Y1010 _ "A" • A7rM eiarACH AS RECORDED IN P soar 6 _ PAGES GA or THE ccoceeArr ,cPu©c./c ,Q v Wd OF DUVAL 0:1,-L4 canna irk XICI4A1C0 7. r x etMerrav, 8/¢. / 1_4:37- LOT c O f lit ti �3 " Actual `91 }?6 _ ''∎ 14/110A, Mo c�.r 0.2 C ) 6 PIA ii L ( 1 �� 4 g v. (::///9' iu a 0 a \ a ' --, n.o ES X LO,7 38 L or 34 �., / g7 oR Y o d FRAme aa., w . 1 *3 N . ( t 4 1111;1 O T I to ir M • 0 b 4a •o 05 2 iz.e a covE=, !8 ' iti M J= CepetVediti t lit W WO 4014 "11 N development , but does set M IMtute zoning, sub Ion end Otter lee& Wit t 1 ■4 Q kJ 1- 0 , V , o ; : § w bads Code and dl } 0 ; U o . ut� Fsds at the t' is M Mara - J ,00 A."Iso r Seidl - 011 M the lesuenes d/ - R4l /e00' AChiol 88� Q W ''', d B '� ;�; - . : , _ "0- - . O • Date: '` g i I���r t�.� FIFTH S77 Er 00 39dd DNI 30N33 "1VAf1Q 9SZt'09Z Z0 :80 000Z/t0/L0 i,..L.1.\J‘J, .f.. Jo ,..4...x 41,10„ CITY OF ATLANTIC BEACH ' � ;� x %' 800 SEMINOLE ROAD j F , ;1 ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 'VyJJ31� Application Number 04- 00028527 Date 6/29/04 Property Address 381 5TH ST Tenant nbr, name 12,000 GALLON POOL Application description . . POOL Property Zoning TO BE UPDATED Application valuation . . . 20000 Owner Contractor TARKINGTON, FRANCES SOUTHEASTERN POOLS COMPANY 233 E.BAY SUITE 1001 8935 MAC ARTHUR CT S JACKSONVILLE FL 32202 JACKSONVILLE FL 32216 (904) 641 -4559 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 130.00 Plan Check Fee . . 65.00 Issue Date . . . Valuation . . . . 20000 Fee summary Charged Paid Credited Due Permit Fee Total 130.00 130.00 .00 .00 Plan Check Total 65.00 65.00 .00 .00 Grand Total 195.00 195.00 .00 .00 • PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING C S. C • lettak BUILDING OFFICIAL C e 'a-3 cc : 0 ,, ; . i CITY OF ATLANTIC BEACH i BUILDING / ZONING DEPARTMENT Hi i ns ` ` 800 Seminole Road j` Atlantic Beach, Florida 32233 (904)247 -5800 .,,;t (904) 247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C; 1 - . ,3 sa 1 7 Property Address: ` <5 `` (S Applicant: 60 LL`} h frIcs-f (' 1-11 t G m S Project: ia,r:ryc jcI1(L.( ci(I This permit application has been: Approved El Reviewed and the following items need attention: Please re- submit y r applicatio when these items have been completed. Reviewed By: AMA- Date: d6 '25--1)<-1 CITY OF T'J I" .J�rr�J`1 r'Jf1 El 'IL i CITY OF ATLANTIC BEAC r POOL PERMIT APPLICATI N JUN 2 3 2004 BY: r -`... 01- ate: - w.... Job Address: 5 8/ ,4 7 #< , v(i e- 1 - d k F/ Owner: i,1 i A t/ 1t / Phone://5? Contractor: ,9z) U/ ,'f� f `'J�' Am/ R-0 /5//e i „¢�1 P / — 41,557 1 -1 Address: F,,. ,5/` / ' /71u C.7 3, Fax: City r S Div State: //, Zip Code: -` Valuation of Proposed Construction: G Gallons: / .1"e.3 *Impervious Surface Calculation: tgol �� `Z� / r te c/” j 't� Q j f =T". ? � P/Zc r-e.. i °'j/ //a o5 ,O- ecif,5 ' 2 . , 1 3 Q � • Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rainwater, however, decking around a pool may be considered impervious depending upon materials used. Is approval of Homeowner's Association or other private entity required? /YU If yes, please submit with this application. In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Recent Survey 2. Two (2) complete sets of plans. One (1) copy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement. 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247 -5826. Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following workday; please specify a.m. or p.m. inspection. When calling in an inspection please have the permit number, job location and type of inspection needed. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of $35.00 is charged for all re- inspections. 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic - beach.fl.us Revised 3/04 I hereby certify that all information provided with this application is co ect. r Signature of Owner: —) ..,�1 . Date: G 1 I q I I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. • Signature of Contractor: L _ r .4.. .., ,, i Date: AS TO OWNER: Sworn to and subscribed before me this 1 ? day of q1.4.4u., ,20 d T State of Florida, County of Duval 0 `' • Notary's Signature: (- 4 w (Le,L, -Gc/ g Personally known ❑ Produced Identification �o "Ya, WAN ETA R. CALVERT al' "-, Notary.Publie:- State of Florida Type of Identification Pr a • - kepi c m+seian EVCEA Feb 25, 2008 o st 75292 'ti;scii r ,,• ". Bonded By Netlonal Notary Assn: AS TO CONTRACTOR: �y Sworn to and subscribed before me this / 7 — day of , 20 0 State of Florida, County of Duval Notary's Signature-- 'Wid' t — Personally known ❑ Produced Identific,. ti •„ ,,. ®,,,,a„,,.. m. ,.,,,„ WANETA R. CALVERT Type of Identificat;stx * •P Notary Public - State of Florida . .. My C.,crnmissvi Expm Feb 25, 2006 i Commission S DD 075292 .. "'4 0 ; on ► 0 `` Bnndnd Ry National Notary Assn. 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Revised 3/04 • f5 MIN. RETURN /�.� Book 11883 Page 2126 PHONE # y NOTICE OF COM IENCEMENT State of /' � /t ��� Tax Folio No. County of /) 4) ✓. #/ To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: ,Lt) / /, 1 /UC•JC' c5 e vi, .,, i/ A /T / t-4 /V 77'e, C .0 tig(,11. / .9-` � J 3 Address of property being improved: E / . - S T /' ,',y/7 Ct /3e. - ; 9.2 i General description of improvements: j�U ■ ,vi NI I Al 7' / .:7: c2 ( i iii y , Nv 1) 14 0 LO / ✓ C' f' eT— U . N Owner: A �/t //./K/V Ti/l1 Address:317 s 5 r 4-7 77e.... 13e, • Owner's interest in site of the improvement: pp C' / oc# 2,004_2_00869 Fee Simple Titleholder (if other than owner): Book: 1 1 Al Page: 2126 Name: / �/ f� '� / Filpd R Racnrdpd go �.� /�'t�i r'� TAI F. /C ' l ; �G� e /� ( v 6 ✓' 7 Ofi/21/2004 10:30:11 AM Contractor: c� / I TIM FUI LER 79 7 .. /� r /1 �1�� f�, 5 2 � CLERK CIRCUIT COURT Address: J ,� �rL�(� N lit DUUAL COUNTY Telephone No. :0 IP i ll — U 7 3 Fax No: RECORDING f 5.00 TRUST FUND $ 1.00 Surety (if any) COPY FEE $ 1.00 ,. CERTIFY $ 1.00 Address: Amount of Ego t ? DITIONAL $ 4.00 Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: . Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: JJ Date: - Before i s . / day of ,„1 - 1 in the Cou o Duval, tate Of Florida, has personally appe . -, ..,... o. r Notary Public at Large, State of on t ; o *NN CALVERT 0 My commission expires: ( �; . - %' - - •dla�' - Steil ni Fin.td, Personally Known: `/ z • 1 14 • = MY Commission Eyes Feb 25, 2006 1 or Produced Identification: � �, , � �: Commission ! DD 075292 d by °• „� „r bonory National Notary Assn. ` T7 - " , ./ w.nr+- '4:7,,•,fr' "• y,,,m • ter- ;. , . \ S . CITY OF ATLANTIC BEACH �' �—'� POOL PERMIT APPLICATION sJ� r, h . V , -.. 011W /1 t (.3: /1/0 / 6 GI' y l s" c 0 c? ca — �/ Date: f�' - t , T Job Address: c, ? f ,, , ,9.v! <<`- 13,1=6.14. , f l, i.::::-?...3._. Owner: /pl' /[ f/ f 1`� /� >/U t, / -� Phone: " /5 ()ILL.... Contractor: C7 /; /!/ a/f'✓/ /1/ / %/9 /./ ( 40P Pone: .fct Lei/' / /1.5 --.-" X77 ',�w f si.(,'71 Address:79_4 � /0/ -7t` 14 dl Vii, Fax: City r :5C /t 3 ii/t/ L'1 P / 4 State: /7 Zip Code: 5A Valuation of Proposed Construction: 61 A- / ,' Z Gallons: /..,2 Dt V L *Impervious Surface Calculation: i ,02 . j7�c , z / ) ,4 61 - 7 � j * --- C. i , o 4 fr o � L J7/e(i! -r, " 1 7 hill C'S -' /2 -e,,t9 2. / 3 `.S Q F • Swimming pools shall not be considered as Impervious Surfaces of their ability to retain additional rainwater, however, decking around a pool may be considered impervious depending upon materials used. )) Is approval of Homeowner's Association or other private entity required? ;1 If yes, please submit with this application. In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Recent Survey 2. Two (2) complete sets of plans. One (1) copy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement. 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247 -5826. Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following workday; please specify a.m. or p.m. inspection. When calling in an inspection please have the permit number, job location and type of inspection needed. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of $35.00 is charged for all re- inspections. 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Revised 3/04 5 MIN. RETURN R' `PHONE # Gq / Book 11883 Page 2126 NOTICE OF COMMENCEMENT State of 7: L' ii+ �7i Tax Folio No. County of 1) t) v'.4/ To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: r .ro � 36 t' /ve 7 So 0 U; l 'e A /4 TAN T, if eAt,/t. .9.� i 3 Address of property being improved: j E / - 5 r /I -/V Tile- 13 G. ' ll ; 1„2 p General description of improvements: j,:U i i0 NI 1 'Ai? ' .2e,' ( i ,,,i r Nv o i w(7 CD /vC' p e Tee Owner: /Vi d./r ,i/(1 /o /if Address:31/ `' S r %-fb j / ;h. , e, ki Owner's interest in site of the improvement: pool Fee Simple Titleholder (if other than owner): oc oo : 1 44 44869 1 A Page; 2126 64,1, Name: Filad 8 Rerorded 6/21/2004 10:30:11 AM Contracto G.� S c cam- -- � v4 �tl �� I5 �,�/ F. / /C 1 C �i.4 /� �/� t/� 0 � T IM FUI LER Address: 79 9 j /1,i ,4 0 1�it U 0 art)( `�, , j ? / 4' CLERK CIRCUIT COURT i DUVAL COUNTY Telephone No.:C 1 q/ q 7 3 9 Fax No: RECORDING f 5.00 TRUST FUND 1.00 COPY FEE $ 1.00 Surety (if any) CCRTifY $ 1.00 Address: Amount o fEigdA§DITIONAL $ 4.00 Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: J11 � 2 Date: • 0 Before is / 7 day of .., i in the Cou o Duval, tate Of Florida, has personally appearr— — ,,.,,w,, -.tx, Notary Public at Large, State of 4 commission i4 „moo of �,�t i CALVERT rL_. My commission expires: ( , ,W ' - • - d Ststn ni Ftrvi,1 Personally Known: y/ fli _ MY�miss+ n Exp�esr- eb25.2008 or 1i1 ' 1 --- Produced Identification: s ". �� Commission � DD 075292 tsonor,d tf Nattonai Notary Assn. 6 Cc: , CITY OF ATLANTIC BEACH D. Ford J )4 i f BUILDING / ZONING DEPARTMEN s. H oerr S op; 1. „, �_ � 800 Seminole Road —� Atlantic Beach, Florida 32233 (904) 247 -5800 l',{,,;3 !,)? (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # Oki -Z S.I. 7 Property Address: 3g! ;5't -`' c. Applicant: (x) c - erc.6s 4 t° Po o J.s Project: h a , o (`3 () G o/ion p c c This permit application has been: EiK Approved El Reviewed and the following items need attention: Please re- submit your application when these items have been completed. Reviewed By: Lt-- Date: 6[7-4344/ t,..1 -.t..- ` z ° .' 0 N y � �` ■ : -1 1 V � � r m ti wwN fwrb E X, ,, 8v : C 'L7 IC z „L+, m , „ y n w I Nz °sdt- f, ❑❑ m ❑` ❑ ID ❑,. m ,T z c t I � b 0 p z 0 co Oz <Jaw v ° z i r to S > r z cn 0 m 0 m m °' _ . C c c x W <� m' -- <m 6 H < I' o` m_, ,^+,. D m z 0 m p d Z m` O mC 1`�' - o r o m m f , x "'mm m h D o m -�In m z � - o 0 d z m ,_ 2 r z ! N a 3 m ` 0 m C) m � ' o m D z t2 z z co _° n z ,� n z \ v m m= ' ym p &x Q 2 m O_s r 0 ; u < S+ en' � r);: w Il , f' 0 m ,,C S * ,, 'r m -0 rn iI X � n " h C ».. l m ..YC > R#3 o z x p o z m c AC v °a c m ai (/ c m m m a o r I PREPARED 5/30/03, 11 :47 :40 CITY OF ATLANTIC BEACH INSPECTION TICKET INSPECTOR; LARRY J HIGGINS PAGE 1 - ADDRESS : 381 5TH ST DATE 5/30/03 ---------------- ANNA -- TENANT, NBR: GAS PIPING SUBDIV; CONTRACTOR : PRO -GAS CORP. OWNER . . : PARKINGTON, RICK PHONE (904) 721-5431 PARCEL . . : 169878 -0000- PHONE ; APPL NUMBER: 03 00026099 MECHANICAL ONLY --------------- ANNA -- PERMIT: UCH 00 MECHANICAL PERMIT ----------- ------------------------------------------ REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ---- ---- ANNA -- 32 01 5/30/03 LJH ------ - - - - -- ANNA -- -- ANNA -- -------------------------------- ME ROUGH TINE 13:00 ¢14ARY AT PROGAS CO 7214'431, SUPPOSED TO HAVE 212N-INSPECTED ON THE 19TH. S ----------- ANNA -- - - - - -- NTS AND NOTES ----------- - - - - -- ANNA -- _ � J c �� CITY OF 1�.� �ci lb ca.... LL. yQ _ l � r � :31,5 ,tip i d c�1t�cLd Office �� � 3c) V1lLY1 - ►`t��iCA._ of Building Official 1 v`5 (-ft - -) REQUEST FOR INSPECTION i� (pc,. �� � Date Time + Permit No. '� r�� Received ___ __L -� ° �-i 7r-- t P.M. Job Address Owner's j _,./ Locality Name I A y ALA a "1'1 I BUILDING Contractor k CONC ° TE ELECTRICAL � Framing PLUMBING Re Roofing 0 Footing n MECHANICAL Slab Rough Wiring Di Rough Insulation Lintel ❑ Temp Pole 0 Air Heating & ❑ �.�` CI Final 0 Sewer Out ❑ Fire Place 51�LCC�[�� �/ ewer Heating G4 Mon. J READY FOR INSPECTION Pre Fab Tue-. Wed. Thurs. Friday ; Inspection Made '0 �� --_P.M A.M. Inspector P.M. Final Inspection ❑ Certificate of Occupancy ❑ Date PXEPARED 2/25/03, 16:44 :42 CITY OF ATLANTIC BEACH INSPECTION TICKET INSPECTOR: LARRY J HIGGINS DATE 2/26/03 ATE 5 --------------------------------------- ADDRESS ------------------------- : 381 5TH ST D --- TENANT, NBR: ROOM ADDITION SUBDIV; CONTRACTOR : PEARSON, J.E. CONTRACTOR OWNER . . : TARKINGTON, RICHARD T. PHONE : (904) 246-9525 PARCEL . . : 169898 -0000- PHONE (904) 241 1 00152 152 APPL- NUMBER_ - 03_00025506 _RESIDENTIAL - ADD /RENOVATE /ALTER --------- - - - - -- ------ - - - - -- ---------------- MINI?: BLDG 00 BUILDIAG PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 11 01 2 /26/03 LJH - -- - - - --- __ 4_ - --- COMMENTS AND NOTES ------------------------------------ PERMIT WORKSHEET JOB ADDRESS th TYPE WORK ro ory) Q rC PROPERTY OWNER a rJ r i ELEPHONE d' /- D i 6 z CONTRACTOR F ?PCLf.SOn TELEPHONE oZ 4- 7 (1 1S 01..c PERMIT NUMBER 0 3 `a C (r, DATE ISSUED 0 /3 • 03 INSPECTIONS: FOOTING SLAB d•.2 ( TIE BEAM LINTEL NAILINGISHEATHING `I ( - 4 FRAMINGICOVER UP --(4 -6 3 INSULATION Li - 4 - 3 FINAL BUILDING + 1, - 2-1/2 y (53 CERTIFICATE OF OCCUbAN TREE PERMIT ISSUED? PERMIT NUMBER ELECTRICAL PERMIT NUMBER DATE COPY SENT TO JEA TEMPORARY POLE PERMIT NUMBER DATE COPY SENT TO JEA TEMPORARY POWER LETTER RECEIVED? YES NO INSPECTIONS: ROUGH ELECTRIC RELEASED TO JEA TEMP. POWER RELEASED TO JEA TEMP. POLE RELEASED TO JEA ANAL MECHANICAL PERMIT NUMBER <',0 6 14 f L i INSPECTIONS: ROUGH 5 3o .03 FINAL 1 1 I t _ PLUMBING PERMIT NUMBER TOPOUT INSPECTIONS: ROUGHIUNDERSLAB WATERISEWER FINAL DRAINAGE INSPECTION POOL PERMIT NUMBER INSPECTIONS: STEEL FINAL ROOFING PERMIT NUMBER INSPECTIONS: NAILINGISHEATHING FINAL FAILED INSPECTIONS: DATE PD. DATE PD. e ! - CITY OF ATLANTIC BEACH ,,, ; 7 , 800 SEMINOLE ROAD } ' 4-) ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 1: :tJr3 9 Application Number 03- 00026099 Date 5/16/03 Property Address 381 5TH ST Tenant nbr, name GAS PIPING Application description . . MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor PARKINGTON, RICK PRO -GAS CORP. 381 5TH ST. 9378 ARLINGTON EXPWY. #30 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 721 -5431 Permit MECHANICAL PERMIT Additional desc . Permit Fee . . . 70.00 Plan Check Fee . . .00 Issue Date . . . Valuation • • • • 0 Fee summary Charged Paid Credited Due A Permit Fee Total 70.00 70.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 70.00 70.00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL S! :11 °I.t .� - A, CITY OF ATLANTIC BEACH or ) MECHANICAL PERMIT APPLICATION �r 1Ir)a _ Date: - //A X3 Owner of Property: a e /� ki2 /.-1A,' 7 4) Ai Job Address: ; 3cc"/ .5 – / S T Contractor: Pf2.0 (A j_ —_) CO L In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. III. GENERAL INFORMATION A. Type of heating fuel: B. ❑ Electric IS OTHER CONSTRUCTION BE •I I9 DONE ON THIS Gas: 1 -fP _Natural _Central Utility BUILDING OR SITE ? /(/ ❑ Oil ❑ Other – Specify IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT 0-3 ,,2s s n lD Iv. MECHANICAL EQUIPMENT TO BE 1�ATURE OF WORK — [� Residential or Commercial INSTALLED la New Building (Provide complete list of components on back of this form) [`Existing Building ❑ Heat _ Space _ Recessed _ Central _ Floor CI Replacement of existing system ❑ Air Conditioning: Room Central el,d- -'flew Installation (No system previously installed) ❑ Duct System: Material Thickness ❑ Extension or add -on to existing system Maximum capacity cfm ❑ Other- Specify ❑ Refrigeration ❑ Cooling tower: Capacity _ Rpm ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator : Manlift _Escalator (Number) (Received) ❑ Gasoline pumps (Number) ❑ Tanks (Number) Remarks ❑ LPG containers (Number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers s la-."" Other – Specify A i pi), N J �j Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving (Tons) Agency \\........., \\,....., HEATING – FURNACES, BOILERS, FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving \ (BT Agency \ \ TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency .... ‘,� N. N 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us 1/14/03 1 44#› , e CITY OF ATLANTIC BEACH ;;-' 800 SEMINOLE ROAD r4 sl ATLANTIC BEACH, FLORIDA 32233 UV" ` INSPECTION PHONE LINE 247 -5826 : , &:s Application Number 03- 00026439 Date 7/03/03 Property Address 381 5TH ST Tenant nbr, name 1 FIXTURE Application description . . PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor TARKINGTON, FRANCES KELLOWS RAPID RESPONSE PLUMB. 233 E.BAY SUITE 1001 1015 ATLANTIC BLVD. BOX 29 JACKSONVILLE FL 32202 ATLANTIC BEACH FL 32233 (904) 247 -6530 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . . 42.00 Plan Check Fee . . .00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 42.00 42.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.00 42.00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERXIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. \ _ BUILDING OFFICIAL r$ 9 ;'t rw a • r CITY OF ATLANTIC BEACH 1.?‘ 7,7C----.,- , PLUMBING PERMIT APPLICATION WI 0P _ Date: 1- 6 5'& 5 Job Address: 3 ' \ 5 +17 / Owner of Property: \ t '111 4o') Telephone: Plumbing Contractor: V,1-14)(,41 � 42? 1L of / Tk1041 71 Z • ■ Contractor's Address: �`t- r OO , ✓� l �'%c 7 0 Telephone: U' d T ()S L) Fax: 3L/j-- (C Li. State License Number: 1 ..--f4 t)06`1139. How many of the following fixtures (re -piped or new): Sinks Showers Water Lavatory Water Heaters Hose Bib Bathtubs Dishwashers / Sewer Urinals Disposals Other Closets Washing Machine Shower Pans Floor Drains Re -Pipe (List fixtures being re- piped) Total Fixtures: x $7.00 + $35.00 = (Minimum Permit Fee: 835.00) ly , Signature of Contractor: 111,7' "' . Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us P...:....4 1 /1A /!11 1 '�,� CITY OF ATLANTIC BEACH • .. i;, 800 SEMINOLE ROAD ,, , Si ATLANTIC BEACH, FLORIDA 32233 +� INSPECTION PHONE LINE 247 -5826 `�, F31>'r 03- 00025506 Date 2/13/03 Application Number 381 5TH ST Property Address ROOM ADDITION Tenant nbr, name Application description . . RESIDENTIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . • 8000 Owner Contractor TARKINGTON, RICHARD T. PEARSON, J.E. CONTRACTOR 1416 FOREST AVENUE FL 32233 NEPTUNE BEACH FL 32266 ATLANTIC BEACH ( (904) 241 -0152 (904) 246 -9525 Permit BUILDING PERMIT Additional desc . Plan Check Fee 5250 Permit Fee . . • . 105.00 2..50 Issue Date . . • • Valuation . . . Fee summary Charged Paid Credited Due Permit Fee Total 105.00 105.00 .00 .00 .00 Plan Check Total 52.50 52.50 .00 .00 Grand Total 157.50 157.50 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS 'A+ij1CH ARE PART OF THIS41ERMTI AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. RI III .DING OFFICIAL i " ` ,i r .,,' CITY OF ATLANTIC BEACH oo ) -; A PERMIT CALCULATION SHEET 0- ; `oaf; 0 Date: _ 3 d - l/ t � Address 3 !) / S - S " - A A. 0 7-7 04 -t 0,9( 7-7 0 cJ Heated Square Footage @ $ per sq ft = $ Garage / Shed @ $ per sq ft = $ Carport / Porch t @ $ per sq ft = $ k (- � @ $ per sq ft = $ Dec xi r � Patio I @ $ per sq ft = $ oc TOTAL VALUATION: $ 5 d 06 Total Valuation 1 $ $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: I1_1 - TOTAL BUILDING FEE $ ZONING: ` g S - 2 + Y2 Filing Fee $ FLOOD ZONE: (1) Fireplaces @ $35.00 $ 3s IMPERVIOUS SURFACE: '7 j 7� l BUILDING PERMIT FEE $ WATER IMPACT FEE $ w SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ C( )RADONHRS.0050 $ SECTION H PAVING ( ) $ - CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ i GRAND TOTAL DUE: $ 1/13/03 C+ ';F ATiAN 'C Elf ACTH 4 r . FEB 0 7 2603 City of Atlantic Beach 800 Seminole Road Atlantic Beach, Fl rid223 -3- 5445 -- -- Phone: (904) 247 -5800 FAX (904) 247 -5805 http:/ /www /ci.at�antic- beac:ff:us BUILDING PERMIT APPLICATION (FOR NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE 1 / 3 JOB ADDRESS 8f/ .. 3 / - OWNERS NAME Ri b E -1,4 7. e PC/n) 7 ',t) S ADDRESS 3?! A.. 6 PHONE: 2-J — LEGAL DESCRIPTION: BLOCK NUMBER 7 LOT NUMBER ZONING DISTRICTS 4 CONTRACTOR : , / -g s o „ J STATE LICENSE NUMBER G G- oSE? t 43 ADDRESS f ( 1 / f t71 esf ,1I , v t PHONE z 7_ 9 -5- CITY /1,fer7 v ert-Jt STATE FL ZIP 3 2 2- -4' FAX 2 q 7 // g'Z) DESCRIBE PROPOSED USE AND WORK TO BE DONE ,app (gt a�7 en /d' � Tl� f cctie i lctr- 1���.�r rigc'r. it 6 Gc �c. 't�0 r � tr�c � � 'is., �sl S. PRESENT USE OF LAND OR BUILDING(S) 4. 71 re-5 VALUATION OF PROPOSED CONSTRUCTION ° � t Is this an addition? y G S If yes, what are the dimensions of the added space: feet by 4 feet Will the added area be heated and cooled? 1 eS New electrical o� New plumbing fixtures? 410 New fireplace? Y New heating /air conditioning? ✓VCS Is approval or Homeowner's Association or other private entity required? /1) 0 If yes, please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL OR THE REMOVAL OF ANY TREES? WNO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. '"NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Protected Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904 - 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. 11/27/02 STEP 2. * Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post - construction topographical A r p survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Jv Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 71. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. / 3. Existing and/or proposed driveways. N,A4. If required by the Department of Public Works, a pre - construction topographical survey. '4 45. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. ND 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) ✓ 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED W H THIS APPLICATION IS CORRECT. .X�`'L L DATE - -/ • y 7 1003 SIGNATURE OF OWNER I HEREBY CERTIFY THA I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR 1-,.� ! '' ^ `-"T DATE / e 3 I ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATIO N (PLEASE PRINT) NAME cJ. r. P2A MAILING ADDRESS 1 Fe resf / v€- A/+& i?et , FL 3 . 22 ( , 1 PHONE 2 t i -' 9 -� "? S FAX 2� 7— .1./ r�� E -MAIL J --- 6 t hi ` 1 inee � e, l SWORN AND SUBSCRIBED BEFORE ME THIS c 1 DAY OF a'o STATE OF FLORIDA, COUNTY OF DUVAL NOTARY'S SIGNATURE y C AS TO OWNER: personally known LORRAINE C. COCHRANE ❑ Produced identification Notary Public, State of Florida Type of identification produced ., r. • .t. Comm. No. OD 091422 AS TO CONTRACTOR: Personally known 0 611744"' , Produced identification Type of identification produced g CC 925233 i +hr t ,r S: June 18, 2004 11/27/02 o o?• tiondea { hru Notary Public Underwriters 5 X Book 10891 Page 1110 . PINIONS �r'""- NOTICE OF COMMENCEMENT (FREFARE W DUPLICATE Fermis No. Sta or Tax Folio No. County of To whom ft may concern: accordance The undsrslgn hereby inform COMMENCEMENT, s you that Improvements will be made to certain reaN props and In with S ection 719 of the Florida Statutes, the following Information is stated in this O + TtCte OF Legal description of pr. •arty bang I mproved: f 3, l Pc.--k i [J GeC 4 Address of properly befog improved: z 2-33 General description o improvements: - e i - e0 01 n . V Owner /� r G ct v . r in - .- n -5_ ,' Address S'f 8e,+ 372-3 Owner's interest in site of the Improvement Fee Simple Titleholder (If other than owner) �, Name Address �-- Contractor J E 7 tr`,gor .e,pert .. Col l c Address . / Li /6. /r' i , ✓e �''� �� 5e /' J 7 z44 ix z 4 / / Phone No. , _ 2 y 7 `? 'z ;; 5"' FAX No . - Surety (if any) Address Aar Amount of bond $ Phone No, „ Fax No. Name and address of any person making a loan for the construction of the improvements. Name hN1 t Address ----- Phone No. Fax No, = Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address - Phone No. Fax No in addition to himself, owner designates the following person to receive a copy of the Uenor's Notice es provided in Section 713,06 (2) (b). Florida Statutes. (Fill in at Owner's option), Name Address Phone No. Fax No. Expiration date o * of Commencement (the sxiSiretlon date is one (1) year from the date of recording unless a different date Is specified): TNiS SPACE FOR RECORDER'S USE QNLY OWNER Si I C.' .1� a Da te: 12` 7 0 3 ner...� 1 ,1.../ 0 % rimy el' C2,/t144.Q /_ Ain the et; V j CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5445 tiJs� TELEPHONE: (904) 247 -5800 :114: '� FAX: (904) 247 -5805 SUNCOM: 852 -5800 http: / /ci.atlantic- beach.fl.us PLAN REVIEW COMMENTS Permit Application # O 26 SOL 2 Applicant: j. E - Pc CvSo>em_ Address: St' Project: OtLa) /Your application is approved o Your permit application has been reviewed and the following items need attention: Please re- submit your application when these items have been completed. Reviewed by Signed to / ( °L_ Contractor Notified Date CITY OFATLANTIC BEACH i'� 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORA 32233 -5445 TELEPHONE (904) 247 -5800 i � ) FAX (904) 247 -5805 ...A, �40 �LJ� —� SUNCOM: 852 -5800 http:/ /ctatlantic- beach.fl.us r :119 PLAN REVIEW COMMENTS Permit Application # ZG SOLO Applicant: -C CA Address: 1 Project: Cpl Cry') Your application is approved o Your permit application has been reviewed and the following items need attention: Please re- submit your application when these items have been completed. Reviewed by Signed Date d;.'- 3 Contractor Notified Date „..------ ' ------ _--- ------ . ' 1 _,... 1 1 I 1 • \ iolliircw ''''''''rt?::'-'„,a--,;;•"”. ''''''f,-"' . 1 .i- _ . . tr t ' ' 4 ,. -401i .:_, ... 100..... „, 'r - . 7 5 11 'A Vc-r4c,L I , ..r 3 04. ty A ty 13" AZ, .-- ' APPROVE-, (.._ I - ---. - , vl EPotY --- CITY OF ATLANTIC dEACH BUILDING OFFICE A:1,10 g 6 L ko # i Li d 1 ., 7c,d 4.411.4... V BA -E! etre- °A1 rtgetat TE ' At.E 0 1 Ev.s, 1 Palt. - TIF4 - r p corn ote..reP 4 11 -A:— / v, ma _ 1 ,....st__ 4. - t::::, Existou6 SLAB ip l‘ ,,, / 2 I 4. 7 II Nat .-,..--.......... , : i.............................. jii Z 5L i a— 'CM° VC I ASS) , , . cccid cpy sl _ ___ 367 .5' r'-' sT. PRO POSED vvevd, + lift PRAK , 41 ey a - E p ._......_ ____ S i M 0 X ' " = 1 jr 11 2 a 0 Y ide i t detf I ' t• / ... i N "--- FIXED aidiTS" IN5112,6 )_ 6 E - 381 E X 57/1,7 ' #4505Eh,9.1? Pcle r A' Go r---- L 2 2 if 11111.1.11.111111111111.wr. - FRAM/A/6 ! 1 Ili S ____._c .._._._.. 5( 4 Z SP1 ST) ©s 6 16" o.c. 4x 1 I 1 % R13 /34T , II 5� /'r' ~ d It 4 DX ! �.l w p 511 EAT ,w vi , t I I ! iv 41 L- �3el cornMoN� ? 3" 0,c. IE_V6E. 1 e Ri .1 ° ji ______ - - -- - ?. G W B e WALLS 4 C E I L. I VG 1 1 ° , ° I kilt t;;749 , E)( 457!/lG .,III 1 Ho u s E 5G,4 8 �IRpoar ��1s __.._._. _ 1 4 . Ap pp 4, 45. IS T //si (3 w0 . `:-�� .e1.64 TR 1 444 / . / ,, °- ,- I S 11,4 1 0 S I-I t L I IJC, / `.// / ' 6 L- (of owtsvE. z / / titu WA i.. iii ______t_ ' r '/ F E / 7V Rr -Ac Acl / / F L ,/ F_ 111 5T1h6 > A1tw' , ._ExI5r1NG / Al TER /OR E L VAT II N y 4 ,, = r0aa y5 . MAP SHOWING BOUNDARY SURVEY OF , LOT "a• BLOCK 7 , AS SHOWN ON MAP OF SUBDIVISION "A" , AT Aerte, '. affAc °-,+ As maim IN f A T DOrA11C _ 0 Pi 's _ , or me Cedig ear PkAestaC leeCOARCV al otavAkt. CD.Ar ^ affirm TD: rtiC# O 77 rs,eK,r tau, evie. i .�cfknw! LOT I- or L.01- 50 08 r Ware 071W .4 cdtEr/ ` ' ACONNO PC POW, A. a N88 14" E wool l rest, +a "�.4 x 114111111A4, NO OAP" ! -- 4' doodeo GiAl0r. 5 1 &AMMO 44 ti i ri 2W i i )i v t 1 4 T i ,O 17, (. ES.Z K LOT .38 JTC�R 1. 0 LOT 34 ry e l i 1 I r0 O s d v 0)4 3 0 IL Addjuh �° x XC �Q ,,, K e4,: is.a . ,A V 1., 1 VEr NM . • . . " 7 , G 2 It ... r `�.. C cs�aC O i "..' 1 tl o t 0 z 111 Q 1 J s ' ` ° , V� ".°w ® /'soma Ve rMON DoT ' �''' , x.° A • / ael W 49.88' FIFT! -! STI; EET" ( 4.0' //w.) h � 1, CITY OF ATLANTIC BEACH t ` H 800 SEMINOLE ROAD , ,� ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 � J f 31 S %' Application Number 03- 00025506 Date 3/13/03 Property Address 381 5TH ST Tenant nbr, name ROOM ADDITION Application description . . RESIDENTIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . . 8000 Owner Contractor TARKINGTON, RICHARD T. PEARSON, J.E. CONTRACTOR 1416 FOREST AVENUE ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 241 -0152 (904) 246 -9525 Permit ELECTRICAL PERMIT Additional desc . Sub Contractor . BROOKS & LIMBAUGH ELECTRIC Permit Fee . . . 37.40 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/13/03 Fee summary Charged Paid Credited Due Permit Fee Total 37.40 37.40 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 37.40 37.40 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL 3 CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 3-13 20 D3 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MAS 1E • CI • SIGNATURE: ROOkS an L.10)6 L(eadoc, Co. Inc. ► ! I ), OWNERS NAME: ( kin b)1 ADDRESS: 381 S ? BLDG. SIZE RFD BOX BETWEEN: RESt APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ FT. SERVICE: NEW( ) INCREASE( ) REPA1R( ) CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( ) FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS if CONCEALED OPEN TOTAL RECEPTACLES �/ CONCEALED IOPEN TOTAL 0.30AMPS 31.100 AMPS - SWITCHES i INCANDESCENT FLOURESCENT & M.V. FIXED 0.100 AMPS. I OVER APPLIANCES Il BELL TRANSF. I AIR H.P. RATING H.P. RATING CEIL. KW -HEAT CONDITIONING COMP. MOTOR OTHER MOTORS AMPS HEAT 0 -1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS, jffilll f�r3ie.'e, , irAni 1 w���gy � '� fil ' ■ UNDER 600V 1 OVER 600V TRANSFORMERS: _ NO. I KVA NO. I KVA . NO.NEON TRANSF. NO VA MA I MOTOR SIZE 1 I SWITCH I FLASHERS EACH SIGN Updated 5/20/2002 „...._ • ,—.....FOR OFFICE USE ONLY Date /i ' /O 19 41t Permit #....4 Fee $ 2 1' CITY OF ATLANTIC BEACH gebo "— Valuation $ FLORIDA House # — 5- Si APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner- Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub - contractors be submitted to this office so that licenses can be verified. /� � Date /G / , 19 `� Owner -- - C ---- t'*.. -�-� 1 �`,(4 • Address__ - . `L�` 0-9 u' .� 5' S �T”` c Telephone No._t`.. �• Archi t y e ``^-_ ° -_ "' A I Address Telephone No. Contractor Buil er •`. s Address Telephone No. Lot No. `3Y Block No.._. - Sub Division Zone .....• � reet Side Between and Sts. Valuation $_ .3,0O ''"' For what purpose will building be used • Type of constructio f rs .,. ...a— Dimensions of Building Dimensions of Lot 5.d t - - . .13L Size of Footings f fr 2 0 Size of Piers Size of Sills Greatest Sill SKn in ft. Type Roof - - - -4 -- How will Building be Heated? g Will Building be on Solid or Filled Ground ?- y .,e'cn'"" r r Size of Ceiling Joists 5. , Distance on Centers I',;• , Greatest Span t Size of Floor Joists , Distance on Centers , Greatest Span ,, U / ` r/ Size of Rafters y- �' , Distance on Centers , Greatest Span ft This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot -lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and /or lintel. Z Z� 3. When steel is in place and ready to pour beam. a A 4 4. When framing is completed. FF M 5. When rough plumbing is completed, and ready to cover up. a 6. When septic tank drain field or sewer is laid but before it is covered. W W A q 7. Electrical inspection by City of Jacksonville. rn tn 8. Final inspection. Note: In case of any rejection, re- inspection MUST be called for after / corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of tl tic ach Signature of Buil V l 'i .-1^y Address 02 r 4 ° 'IC' Signature of Owner,c:• Address 7 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION • JOB LOCATION: If' 6 rie6 7 OWNER OF PROPERTY: I 2(i CONTRACTOR: ARLINGTON BEACHES ROOFING, INC. CONTRACTOR'S ADDRESS: 1441 CESERY TERRACE JACKSONVILLE, FLORIDA zip 32211 STATE LICENSE NUMBER: RC0023962 TELEPHONE: 744 -8888 DESCRIBE WORK TO BE PERFORMED: RE -ROOF : 02 9 oS iz3/ VALUATION OF PROPOSED CONSTRUCTION 4' 1 .0:4: 1 ' X77O pU MATERIALS TO BE USED: 411/ SIGNATURE OF OWNER: ilk SIGNATURE OF CONTRACT •` SWORN TO AND SUBSCRIBED BEFORE ME THIS ,r) DAY OF 4- , 197 / � 2 , 6,04}7) NOTARY PUBLI • Liability Insurance Supplied ET LY H, GODWIN ISSION # CC 7137 March 13, Workers Compensation Insurance Supplied 20021 ary Savior R Bonding C s Contractor License Information Supplied Occupational License Information Supplied 40 MIN. RETURN Book 9063 Pg 1088 Pi 1 0 N Bk: 9063 1lotice of tomiiieiiceineiit Pg: 98 I IN DUPLICATE) Filed & Retarded 09/08/98 01:08:00 P.M. HENRY W. COOK To whom It may concern: CLERK CIRCUIT COURT llUVAL COU TY FL The undersigned hereby Informs you that improvements will be made to certain real n ,s(o.00 accordance with section 713.13 of the Florida Statutes, the following Information Is stated in this NOTICE OF COMMENCEMENT. • Description of property cy TLz" -7 --- General description of improvements ____ RE—ROOF : Q2 6(2_ Owner Address __ OS)/ 72-/-/GOP_C Owner's interest in site of the improvement _ ___._ Fee Simple Title holder (if other than owner) '� • Nome / - -- - - - -- --- -- - - -- -- ---- - - - - -- - - -- - VI - Address - - f Contractor ARLINGTON BEACHES ROOFING, INC. Address 1 441 CESERY TERRACE JACKSON VILL, FL 32211 - Surety (if any) — Address __Amount of bond Naive and address of any person making a loan for the r-onctructir n of the improvements. Name Address — Nance of l•ersotr within the State of Florida, other than himself, designated by owner upon whom notices or other document% may be served: Nante Address - In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.08 121 [b], Florida Statutes. (Fill In at Owner's option). Name Address ---- -- - -- --- - - -- - . -.. mis SPACE FOR RECORDER'• USE ONLY BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC 6[ACI4, FLORIDA sass APPLICATION FOR MECHANICAL PERMIT CAII•IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. St Address: _ b I +h 6+, LOCATION {{ OF Intersecting Streaks: ...tweets .I � And CMsNOLE. WILDING Sub-4646 II. IDENTIFICATION — To be completed by ell applicants . In consideration of permit given for doing the work es described in the above statement we hereby ogre. to perform said work in eccordence ..,+ th en pi and specifications which are a part hereof and in •ccordenc• with the City of Jacksonville ordinances and standards o I good prect.c* listed therein. Neese of MecheeKel GerMet'er (Fria') 0� Mes*., to /, X7 C � ( y? E � 5T C� L Mash► l/. / 1 Moab. e/ Sipetrre .1 Oraar er ArMerised td�Iai� A �— Signature e/ ellihct er Engineer 111. A . ► E�ecchic IS OTHER CONSTRUCTION •RING DONE ON THIS SUILDINO OR SITE? PC) O Gm — 0 V Q Mound 0 C.nt►•1 Utility Q Oil IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT 0 Other — sa•ut __ V. 1ICi1ANICAt SQUMNMIT TO Ili IN$TALLND NATURE OF WORK ( P _J a No el c+mpw.ati.. Mei o- " Co Otis term) 0 Residential or 0 Commercial Pa pi‹, L[[LNeat O Spec. (3 Roc d I E 0 Rea [] New Building ma c: 0 Rom Fi 0 Existing Building 0 C,rc! System: hl•taaW _ > y. E Riplaoement of existing system / r., 0 New Installation (No system previously installed). M upset's e ig..a'i.o 0 Extension or add-on to existing system La c..liag Hew tapeNy BP" 0 Other --7 Specify CI ••• •'isnot': Nw.st►n el Iwo* Q i..et r ❑ Idaaiift O Earalatw (Read'.►) Q 644.46. w Ilrw�.,) r THU VAC. Pe 0 use ONLY (Re+.Md) 0 Took (arsrri..) Q L c.ateisera Renrarb (tarar`et) O U.4..d predawn, vows 0 Seim ►.',writ Approved tear LIT ALL EQUIPMENT Ant CONDITIONING AND REFRIGERATION EQUIPMENT • Moak" Udta Dascriptke Medd Numb*, A Yaatttta►ott� t�a a *eureka'' ;y 'NFt- 0 • G. :'RIER- 2‘ s HEATING • FURNACES. BOILERS, FIREPILAC7ri -- - .__ ..- -. *ember Um, . - pSR•314 . 1' 3 ' DEPARTMENT OF BUILDING I ' CITY OE ATLANTIC BEACH I C - PERMIT t PE INP`ORMATION ` TM LOCATION INFORMATION Pe rmit Number: 15339 Address: 391 FIFTH STREET Permit Type :MEC A'NICAL ATLANTIC , BEA4CL FLORIDA 32233 ' CIas* 0t Work': _ - - - - - - - . LEGAL DESCRI -ww....__._ -- I Cont. ir Type :WOOD FRAI4E Black,: Lot. 7'�rla. 0 1 Proposed t'Ee:SINOLE Erma LY Secti 0 Subd: Rng: 0 owe la.ncts: 0 Subdivision: ' E #t. Value; 0,00 i .np* ov r Cost : 0.00 Tbt l Fe:- • i ; 7 , 00 Ampunt P. a ^ ; 37,00 " 1 t)att a s �i�4# "i�" c'1 >xg ° ., � ' t 1 14 «r ' =z 'a' � - 4I ` 4 - i ' t a M ; 1 i „ a K 4 ''Olt y F F A y i f t I NOTES' 'I I I I I , [ 3 NOTICE -' INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION � z E BUILDING MATERIAL RUBBISH AND DEBRIS FROM THIS WORK MUST NOT, BE PLACED IN PUBLIC SPAC ST BE ' CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER 1"` '1' UtVii k ' A d i i THE PROPERTY' OWNER PAYING TINIcE FOR BUILDING IiviPRO3AE 41 , e _. k t ACCORQING TO APPROVED PLANS YVHICH ARE PAFIT OF t SUEPEDT TO 13EVOSATION FOIt ATLANTIC :EACH BUILDING DEPAR MENT k By: ,` ,.r1.. ` PERMIT NO • EN.f OF BUILDING' DEPARTM FLORIDA 2n ,�'1t 1 CITY OF ATLANTIC BOCH. ns noC BB y�,?SiS.9V4+s� t I MITT N JOB r 1 A1Jn7Je„ PER 1 ,nl�a� T HIS PERMIT MUST BE POSTED O $ 6 19 7 4 z k? J 07 J'd $ -� Z a.oa 921 1 c� 000 Date F ee$ v a l Llat l OII aid to C T teasutet, and is d until above fee has been p C it y re of law• subject not valid violation of applicable provisions This pet Lion for vi TYV^ /f,+i'IL�G subject to tevoca *T & T L1r�e' This is to cer that 11 Meat I fu and install I re moye has permission to d pump Zone Classificati Tarkin = ton stD Owned by Block- - Lot FORMS art of this permit CRETE F House No. roved p NOTICE —ALL CONCRETE BE IN lans which are p FOOTINGS According to app AND POURING SPECTER BEFORE SIX MONTHS PERMIT T R D D E OF ISSUE debris material, rubbish and laced O Building work must not be Pleated - --� from this an d must be 4 in public pace. away by either con- ' up a nd � anted tra , or owhe it,- ‘--J li uilding Official. CONTRAC DATE P ERMIT FOR OFFI NUMBER _`_► —_—"� USE ONL'� PLUMBIN EL ECTRICAL t SEWER I I WATER I 4111is, Mk MECHANICAL PERMIT # 4 MECHANICAL PERMIT APPLICATION Jurisdiction Of BEACH, FLORIDA Applicant to complete numbered spaces only. A rh A- a • JOI A OIIL /I M l 3 - - -- - - -- LOT M /L� IIIAC7 L[IIAL Li* ll ATT•CM[O /NLLTI 1 D($CII. *MOM* 0----- MAIL AODIIC$$ ZIP I� * 3 � / ZZ,�3 �+ COM TII TOII M•1L AOIIIIL Af NOME LICLM /L NO. s -..-,� • A � - � �; 3 -is �i LMI TLCT Oa L4SiGAL MAIL • II I •wDNL L CLASS NO. 4 LN4INLL• MAIL AuDIIISS •1 LICLMSC MO. 5 LLMD1P -� MAIL •DORERS IPANCH 6 ,,--^ u at Or •ut 1•44 ---- , 8 Class of work: NEW U ADDITION ❑ ALTERATION L REPAIR BUILDING PERMIT # 9 Describe work: e r '- -- - --_ �- ,, _ > r --141.16/ Type of Fuel O. ❑ Nat. Gas 0 LPG. ❑ PERMIT FEES SPECIAL CONDITIONS No. Type of Eou ,•,:nnt Fee D f v ,i . - - - -- - � Air C Ind Units H.P Ea $ -- - - - — - - - Refric-seiailon Units-H.P. Ea. -1 - - - - Boilers H P. Ea. - - -- -1 - -- Gas Fired A C. Units - Tonnage Ea. Forcer! Air Systems -B.T.U. M Ea —�- APPLICATION ACCEPTL )eT PLANS Cr$EC1F L) s Y APPMtivt 1 i s eT Gravity Systems- -B.T.0 — — M Ea H - Floor Furnaces-- B.T.U. M 1 Wall Heaters - B T.0 M NOTICE Unit Heaters B.T.U. M - THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON - _ Evaporative Coolers - STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 Clothes Dryers CJ MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR - - -__ ABANDONED FOR A PERIOD OF 1 YEAR AT ANY TIME AFTER Ventilation Fan _ WORK IS COMMENCED. Range Hood - -- - H t HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED 1HIS - - _ APPLICA rION AND KNOW THE SAML TO BE 1 RUL AND CORRECT Air Handling Unit -- _ v C.F.M. ~ ALL PROVISIONS OF LAWS ANC) — ORDINANCES GOVERNING THIS - -. i T YPE. OF WORK WILL HE COMPLIED WITH WHl IHER SPECIFIED --"--1 HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT _ ' Incinerator PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ' FIREPLACE — " – � — - - + — 1 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING _ CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ^— WELL A tt — - - -PUMP -- — 1— 3,4n• N.IIL / wTf AC TOII :.• •., T., J11t2L0 AGLN IDATLI ^— - - .- __.- .___ 1 PERMIT S i. r n f n C C A r - - - - - - 1LL. 0. NE ..i.2 o - -- -- -- - T OTAL FEE - •rai s _ WHEN PROPERLY -- VAL (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION — cK. M.O. — CASH PERMIT VALIDATION CK M.O. CASH H DEPARTMENT OF BUILDING 7 9 3 5 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. •! 11 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB j I Date July 31, 19 8 Valuation $ Fee $ 1) -In This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that FRANCES CARKINGTCN has permission to build WATER WELL /not for deinking purposes Classification Zone Owned by Lot Block S/D House No. 381 5th Street According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS I = AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS m AFTER DATE OF ISSUE — 41 1 — - o Building material, rubbish and debris -i from this work must not be placed in public space, and must be cleared up a hauled away by either con- or ownrr. SAP ' ding Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER 40 Ant kthE $10.00 • APPLICATION FOR WELL PERMIT CITY OF ATLANTIC BEACH PROPERLY OWNER Name: AdA.44.44,1 ,L#74J Day Phone /S Address $ ! S S7 Zip 3.2.1 33 APPLICANT, • IF OTHER THAN OWNER Name: Day Phone Address: Zip JOB Address or Location: 3 ' 1 S � a1• Legal Description: L b'° 36► 15Lie2 Is well to be used for drinking purposes? 44 Any person, individual, corporation or other entity receiving a permit as provided in Section 22 -40 of the Atlantic Beach. Code, and who plans to use water awl the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: I agree to comply with regulations stated herein: 41444.4AV L J . u / g4 Signature Date Q❑ ❑ 2f U Qa ZaS Q v a\ _ c cis eba U cg`aLL W ,: $ m d Q =LL C V ❑ J ❑ ❑ LL c 8 1 2 n m H Z o o �. J J n Li_ p z_ z a cc . 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